Page 35 | Sherwood Open Bible Church

Treasure Seekers Registration Form

Child First Name (Required)

Please include your child's preferred name.

Child Last Name (Required)

Birth Date (Required)

Current Grade (Required)

School Currently Attending (Required)

Does your child attend in LifeWise Academy?

Or have they previously attended LifeWise?

Parent/Guardian Information

Parent/Guardian First Name (Required)

Parent/Guardian Last Name (Required)

Email Address (Required)

If no Email, please reply with "None."

Telephone Number (Required)

Street Address (Required)

Mailing Address

If different from Street Address

City (Required)

State

Zip Code (Required)

What is your relationship to the child? (Required)

Parent

Grandparent

Legal Guardian

Foster Parent/Other

Are there any custody arrangements or no contact orders that we should be aware of?

If Yes, please explain.

Who is authorized to pick your child up from Treasure Seekers? (Required)

Please provide their Telephone number.

Additional Information

Does your child have any medical conditions that we should be aware of?

If Yes, please explain.

Does your child have any allergies we should be aware of?

If Yes, please explain.

Do you consent to the photography or video of your child while at Treasure Seekers, for promotional purposes? (Required)

Is there anything else that you think we should know?

I permit the child listed above to attend and participate in Treasure Seekers. (Required)

Signature and Date (Required)

Solve 5 + 9 = ?

Sherwood Open Bible Church

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